• 의료법학
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• 제10권2호
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• pp.115-150
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• 2009

The Article 17 (1) of the Medical Service Act states that no one but medical doctor, dentist or herb doctor shall prepare medical certificate, post-mortem examination, certificate or prescription. Though medical certificate, post-mortem examination or certificate is a private document issued by doctor personally, it is accepted as reliable as public document. Therefore, for medical certificate, post-mortem examination or certificate, unlike other private document to guarantee authenticipy of the content, the Article 233 of the Criminal Act states the Crime of Issuance of Falsified Medical Certificates. In other words, the Criminal Act Article 233 states that If a medical or herb doctor, dentist or midwife prepares false medical certificate, post-mortem examination or certificate life or death, one shall be punished by imprisonment or imprisonment without prison labor for not more than three years, suspension of qualifications for not more than seven years, or a fine not exceeding thirtht million won. The subject of the Crime of Issuance of Falsified Medical Certificates is only a medical or herb doctor, dentist or midwife and the eligibility requirements are specified in the Medical Service Act. Medical certificate is the medical document to be issued by medical doctor to certify the health status and show the Jugdement about the result of the diagnosis, Post-mortem examination is the document to be listed by medical doctor to confirm medically about human body or dead body, and Certificate life or death is a kind of medical certificate to verify the fact of birth or death, the cause of death, such as Birth Certificate, Certificate of Stillbirth or Certificate of Dead Fetus. To constitute the crime of Issuance of Falsified Medical Certificates, it is necessary for the contents of the certificate to be substantially contrary to the truth, as well as it is needed the subjective perception that the contents of the certificate are false. The Supreme Court Decision 2004DO3360 Delivered on March 23, 2006 declared that although the Defendant did not MRI scan, etc. for precise observation about the disability status of Mr Park, it was difficult to believe that the contents of the Disability Certificate of this case were contrary to the objective truth or the defendant had perception that the contents of the certificate were false. I don't agree with the Supreme Court Decision, because the Supreme Court confirmed the decision by the court below despite the Supreme Court should have made the court below retry the reason why the Defendant did not MRI scan, etc. for precise observation about the disability status of Mr Park.

• 의료법학
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• 제14권2호
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• pp.49-80
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• 2013

The Issuance of false medical certificates on Criminal Law or the Medical Service Act are frequently applied to the insurance fraud cases related with the medical certificate, prescriptions. The meaning of medical certificate is not defined on the crime of Issuance of false medical certificates, but considering the rule of Paragraph 1 of Article 17 of the Medical Service Act, which punishes drawing up the medical certificate by anyone except the doctor who has directly examined, and the principle of legality, the medical certificate applied with the crime of Issuance of false medical certificates should (1) include the judgment after current medical ex-amination, (2) be written for the purpose of verifying the health status and (3) have a style that can be recognizable as medical document usually written by doctors. In addition, since there have been many argues on the range of application of the Paragraph 1 of Article 17 of the Medical Service Act, which generally regulates various kinds of documents such as medical certificates, prescriptions and others, which have different purpose and characters, the range of application of the clause above is needed to be interpreted strictly.

• Journal of Trauma and Injury
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• 제31권2호
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• pp.58-65
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• 2018

Purpose: Many doctors have difficulty in deciding the treatment duration in trauma patients to write in the casualty medical certificate. We tried to find a solution for this problem by using abbreviated injury scale (AIS). Methods: A total of 39 patients treated in our regional trauma center who requested an author to write treatment duration on casualty medical certificate from January 2014 to April 2017 were included. And the treatment duration was decided based on the PARK Formula (AIS). PARK Formula $(AIS)=(AIS{\times}2){\sim}([AIS{\times}2]+2)$ Results: Among 39 patients included and 36 (92.3%) had treatment duration on casualty medical certificate within the range of treatment duration calculated by PARK Formula (AIS). Compared to the PARK Formula (AIS), the mean value was 0.13 week (0.90 day) smaller. Comparing the treatment duration between Korean Medical Association (KMA) guideline and PARK Formula (AIS), only 22 patients (56.4%) showed agreement. The mean value was 1.02 week (7.18 days) smaller in KMA guideline. Conclusions: For the decision of the treatment duration in trauma patients, utilizing worldwide used AIS scoring system is very efficient. Using PARK Formula (AIS), doctors can document the treatment duration in the casualty medical certificate with ease. KMA should provide more practical 'treatment duration of each diagnosis in writing casualty medial certificate' for the doctors. We recommend PARK Formula (AIS) as a good alternative for KMA guide.

• 스마트미디어저널
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• 제5권1호
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• pp.114-121
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• 2016

현재 각 의료기관들은 의료정보화 사업을 꾸준히 진행 하고 있다. 의료기관에서 운영하고 있는 대표적인 시스템으로는 전자의무기록, 처방전달시스템 등이 있으며, 의료법에서 전자서명을 허용함으로써 의료정보를 관리함에 있어 비용절감 및 진료정보의 공유가 가능하게 되었고, 공인인증서를 활용한 의료솔루션 사용이 확산되어 가고 있다. 이러한 현실에서 인증서의 역할은 어느 무엇보다 중요하다고 할 수 있지만, 대부분 개인 인증서 관리에는 매우 적극적인 반면, 의료솔루션 등 업무와 관련된 인증서 관리에 대해서는 소홀한 것이 사실일 것이다. 업무용 인증서의 경우 업무PC에 보관하는 경우가 다수이며 이는 보안에 취약할 수밖에 없다. 이에 대한 해결책으로 인증서 서버가 존재하나 별도서버의 구축이 필요하여 중소병원의 경우 비용에 대한 부담이 적지 않을 것으로 판단된다. 본 논문에서는 추가비용을 최소화하여 별도의 인증서 서버를 구축하지 않고 인증서 파일을 BLOB로 저장하여 현재의 자원을 활용한 인증서 관리 및 보안에 효과적인 시스템을 설계 및 구현 하고자 한다.

• 정보처리학회논문지C
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• 제18C권6호
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• pp.379-388
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• 2011

의료정보는 환자에게 중요한 개인정보로써 반드시 보호돼야 한다. 특히 전자의무기록에 접근할때, 의료인의 강화된 신원확인에 대한 인증방식이 필요하다. 기존의 공인인증서 기반 인증모델은 개인키 관리, 권한위임 등 문제점으로 전자의무기록의 특성을 반영하지 못했다. 본 논문에서는 전자의무기록 시스템에 의료인이 접근하는 경우 지문인식 기반 인증 모델을 적용하여 강화된 인증방식을 제안한다. 전자의무기록의 지문인증 모델은 의료업무의 특성을 반영하여 개인키 관리, 권한위임 문제를 원천적으로 해결하였다.

• 의료법학
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• 제18권2호
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• pp.47-73
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• 2017

진단서는 의사등이 진찰결과에 관한 판단을 표시하여 작성하는 문서로서 민 형사소송 등에서 증거로 쓰인다. 특히 상해의 증명에서 그 기능이 현저하다. 법은 허위진단서작성을 형사처벌하는 등으로 그 증명기능을 보호하기 위하여 힘쓰고 있다. 그러나 몇 가지 이유에서 진단서가 진실과 부합하지 아니하는 경우가 생긴다. 첫째, 의사등의 제1차적 관심은 환자의 효과적인 진단과 치료인데, 그에 필요한 정보수집 및 판단의 방법이 법정 등에서 진실을 찾는 것과 다를 수 있다. 둘째, 의사등은 종종 환자의 진술 등에서도 판단에 필요한 정보를 얻는데, 환자와의 치료적 대화 관계 등의 유지를 위하여 그 진술 등의 신빙성을 의심하는 것이 부적절한 경우가 있을 수 있다. 이는 결국 의사등이 증명이 아닌 다른 목적으로 수집한 정보로부터 내린 판단을 증명에 전용(轉用)하여 생긴 문제이고, 비용이 낮은 진단서 제도를 버릴 수 없는 한 불가피한 한계에 해당한다. 진단서에 의한 증명에 표현증명의 효력을 부여하여야 하는 경우와 그 증명력을 자유심증주의에 터 잡아 개별적으로 심사하여야 하는 경우를 나누어 후자에 대하여는 전면적인 증명력 심사를 가하고, 진단서 서식 자체를 개선하여 법원이나 수사기관 등이 위 둘 중 어느 경우에 해당하는지를 가리는 데 필요한 정보가 이미 진단서 자체에 드러나게 하는 개선이 필요하다.

• 항공우주의학회지
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• 제30권1호
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• pp.40-49
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• 2020

In accordance with ICAO SARPs, the states should implement appropriate aviation-related health promotion for airmen subject to an aviation medical examination to reduce future medical risks to flight safety. We aimed to analyze the results of the aviation medical examination to use as objective evidence for establishing an aviationrelated health promotion plan. The results of the final issuance of airmen medical certificate from 2015~2017 were collected from the e-sky computer system. The 30 cases (0.3%) in 2015, 22 cases (0.2%) in 2016, 38 cases (0.3%) in 2017 were unfit for flight duty. The 34 unfit out of the total 90 cases were renewal physical examinations. The cardiovascular disease was most commonly in 11 cases, followed by 8 tumors, 4 psychiatric diseases, 3 ophthalmic diseases, 2 respiratory diseases, 2 neurologic diseases, 2 otolaryngological diseases, 1 endocrine disease and 1 digestive disease. The results of this study can be used as objective data in aviation-related health promotion plan. The health promotion activities based on objective data can contribute to improving aviation safety by improving the lifestyles of airmen.

• Journal of the Korean Data and Information Science Society
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• 제28권1호
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• pp.163-171
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• 2017

인터넷 뿐만 아니라 휴대용 컴퓨터라고도 불리고 있는 스마트폰의 기능이 향상되면서 인터넷상거래나 금융기관거래에서 인터넷이나 스마트폰을 이용한 거래가 활성화 되고 있다. 인터넷이나 스마트폰을 이용한 상거래나 금융기관 거래 (banking)에는 공인인증서 (authorized certificate, certificate)가 반드시 필요하다. 공인인증서는 지금도 중요시 되지만 미래사회에도 계속 중요하게 다루어질 중요한 안전장치이다. 공인인증서는 2015년 3월 현재 우리나라 국민 2,841만명이 이용할 정도로 생활 필수품에 가까운 위치를 점했다. 그러나 공인인증서의 사용자들이 상상이상으로 공인인증서에 대해 알고 있지 못하다는 점을 파악하여 본 논문에서는 공인인증서에 대한 중요사항들을 정리하고 암호학과 관련된 내용들을 설명하고자 한다. 각종 논문과 인터넷 자료 및 신문기사, 그리고 서적을 통하여 공인인증서의 본질적인 모습과 공인인증서가 어떤 암호체계를 기반으로 발전해 왔는지, 또 과거의 모습부터 근래의 모습에는 어떤 변화를 거쳐왔는지 살펴보고 다양하게 쓰이는 공인인증서의 장점과 그 속에 공존하는 단점, 그리고 취약점들에 대하여 언급하였다. 또한 앞으로 공인인증서가 어떻게 발전해 나갈지에 대해 비모수적 통계적 방법으로 예측하였다.

• 대한수의사회지
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• 제36권5호
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• pp.407-412
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• 2000

• 의료법학
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• 제15권1호
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• pp.263-302
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• 2014

The court handed down meaningful rulings related to medical sectors in 2013. This paper presents the ruling that the care workers could be the performance assistants of the care-giving service although the duties of care worker are not included in the liability stipulated in the medical contract signed with the hospital for reason of clear distinction of duties between care workers and nurses within the hospital in connection with the contract which was entered into between the hospital and patients. In relation to negligence and causal relationship, the court recognized medical negligence associated with the failure to detect the brain tumor due to the negligent interpretation of MRI findings while rejecting the causal relationship with consequential cerebral hemorrhage. The court also recognized negligence based on the observation on the grounds of inadequate medical records in a case involving the hypoxic brain damage caused during the cosmetic surgery. In terms of the scope of compensation for damages, this paper presents the ruling that the compensation should be estimated based on causal relationship only in case the breach of the 'obligation of explanation' is recognized, however rejecting the reparation for de factor property damages in the form of compensation, and the ruling that the lawsuit could be instituted in case that the damages exceeded the agreed scope despite the agreement that the hospital would not be held responsible for any aftereffects of surgery from the standpoint of lawsuit, along with the ruling that recognized the daily net income by reflecting the unique circumstances faced by individual students of Korean National Police University and artists of Western painting. Many rulings were handed down with respect to medical certificate, prescription, etc., in 2013. This paper introduced the ruling which mentioned the scope of medical certificate, the ruling that related to whether the diagnosis over the phone at the issuance of prescription could constitute the direct diagnosis of patient, along with the ruling that required the medical certificate to be generated in the name of doctor who diagnosed the patients, and the ruling which proclaimed that it would constitute the breach of Medical Act if the prescription was issued to the patients who were not diagnosed. Moreover, this paper also introduced the ruling that related to whether the National Health Insurance Service could make claim to the hospitals for the reimbursement of the health insurance money paid to pharmacies based on the prescription in the event that the hospitals provided prescription of drugs to outpatients in violation of the laws and regulations.